Organization
COMMONWEALTH ORTHOTICS & PROSTHETICS
Active
Organization
COMMONWEALTH ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE NICHOLAS ARGYRAKIS II CERTIFIED PROTHETIST (PRESIDENT)
(434) 836-4736
Entity
Organization
Contact information
Practice address
413 MOUNT CROSS RD, SUITE 107, DANVILLE, VA 24541-9999
(434) 836-4736
(434) 836-6208
Mailing address
413 MOUNT CROSS RD, SUITE 107, DANVILLE, VA 24541-9999
(434) 836-4736
(434) 836-6208
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009190864
—
VA
01
—
063164
ANTHEM BCBS
—
Enumeration date
11/03/2006
Last updated
03/04/2015
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